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Interventional management of gastrointestinal fistulas.

Kwon SH, Oh JH, Kim HJ, Park SJ, Park HC - Korean J Radiol (2008 Nov-Dec)

Bottom Line: Gastrointestinal (GI) fistulas are frequently very serious complications that are associated with high morbidity and mortality.GI fistulas can cause a wide array of pathophysiological effects by allowing abnormal diversion of the GI contents, including digestive fluid, water, electrolytes, and nutrients, from either one intestine to another or from the intestine to the skin.In addition, new interventional management techniques continue to emerge.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Kyung Hee University Medical Center, Seoul, Korea.

ABSTRACT
Gastrointestinal (GI) fistulas are frequently very serious complications that are associated with high morbidity and mortality. GI fistulas can cause a wide array of pathophysiological effects by allowing abnormal diversion of the GI contents, including digestive fluid, water, electrolytes, and nutrients, from either one intestine to another or from the intestine to the skin. As an alternative to surgery, recent technical advances in interventional radiology and percutaneous techniques have been shown as advantageous to lower the morbidity and mortality rate, and allow for superior accessibility to the fistulous tracts via the use of fistulography. In addition, new interventional management techniques continue to emerge. We describe the clinical and imaging features of GI fistulas and outline the interventional management of GI fistulas.

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Related in: MedlinePlus

Fistula located between hepatic abscess and jejunum.A. Tubogram after 8.5 Fr drainage catheter insertion into hepatic abscess shows fistula tract between abscess and jejunum.B. Follow-up tubogram shows decreased abscess size and disappearance of fistula tract to jejunum.
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Figure 9: Fistula located between hepatic abscess and jejunum.A. Tubogram after 8.5 Fr drainage catheter insertion into hepatic abscess shows fistula tract between abscess and jejunum.B. Follow-up tubogram shows decreased abscess size and disappearance of fistula tract to jejunum.

Mentions: In specific cases, when fistulous tracts have communicated with the biliary tree, transhepatic biliary drainage may be necessary. We have treated a patient with a fistulous tract located between a hepatic abscess and the jejunum. In this case, the fistulous tract was successfully treated by percutaneous drainage of the hepatic abscess (Fig. 9).


Interventional management of gastrointestinal fistulas.

Kwon SH, Oh JH, Kim HJ, Park SJ, Park HC - Korean J Radiol (2008 Nov-Dec)

Fistula located between hepatic abscess and jejunum.A. Tubogram after 8.5 Fr drainage catheter insertion into hepatic abscess shows fistula tract between abscess and jejunum.B. Follow-up tubogram shows decreased abscess size and disappearance of fistula tract to jejunum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2627247&req=5

Figure 9: Fistula located between hepatic abscess and jejunum.A. Tubogram after 8.5 Fr drainage catheter insertion into hepatic abscess shows fistula tract between abscess and jejunum.B. Follow-up tubogram shows decreased abscess size and disappearance of fistula tract to jejunum.
Mentions: In specific cases, when fistulous tracts have communicated with the biliary tree, transhepatic biliary drainage may be necessary. We have treated a patient with a fistulous tract located between a hepatic abscess and the jejunum. In this case, the fistulous tract was successfully treated by percutaneous drainage of the hepatic abscess (Fig. 9).

Bottom Line: Gastrointestinal (GI) fistulas are frequently very serious complications that are associated with high morbidity and mortality.GI fistulas can cause a wide array of pathophysiological effects by allowing abnormal diversion of the GI contents, including digestive fluid, water, electrolytes, and nutrients, from either one intestine to another or from the intestine to the skin.In addition, new interventional management techniques continue to emerge.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Kyung Hee University Medical Center, Seoul, Korea.

ABSTRACT
Gastrointestinal (GI) fistulas are frequently very serious complications that are associated with high morbidity and mortality. GI fistulas can cause a wide array of pathophysiological effects by allowing abnormal diversion of the GI contents, including digestive fluid, water, electrolytes, and nutrients, from either one intestine to another or from the intestine to the skin. As an alternative to surgery, recent technical advances in interventional radiology and percutaneous techniques have been shown as advantageous to lower the morbidity and mortality rate, and allow for superior accessibility to the fistulous tracts via the use of fistulography. In addition, new interventional management techniques continue to emerge. We describe the clinical and imaging features of GI fistulas and outline the interventional management of GI fistulas.

Show MeSH
Related in: MedlinePlus